A 60-year-old woman with prior hysterectomy has colicky abdominal pain, vomiting, distention, and obstipation. CT shows dilated small bowel loops

Question

A 60-year-old woman with prior hysterectomy has colicky abdominal pain, vomiting, distention, and obstipation. CT shows dilated small bowel loops with a transition point and no free air or ischemia. She is hemodynamically stable. Which of the following is the most likely diagnosis?

Accepted Answer

Adhesive small bowel obstruction

Answer

Postoperative ileus

Answer

Mesenteric ischemia

Answer

Perforated ulcer

Answer

Acute pancreatitis

Adhesive small bowel obstruction — USMLE Step 3 MCQ

A 60-year-old woman with prior hysterectomy has colicky abdominal pain, vomiting, distention, and obstipation. CT shows dilated small bowel loops with a transition point and no free air or ischemia. She is hemodynamically stable. Which of the following is the most likely diagnosis?